Dr Raga Deepika Chakravarthula

 A 45-year-old female tailor by occupation came to the hospital on 2/6/22 with C/O fever on and off, associated with generalized body pains, loss of appetite for 3 months  C/O  facial rash since 4-5 days  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 10 years back then she developed joint pains, the fleeting type associated with morning stiffness for 10 min , not associated with swelling for 2 months for which she was treated at a private hospital and found to have?RA factor positive  patient was asymptomatic until 8 months back then she developed joint pains? post covid vaccination was treated at a private hospital with medications. 2 months back- c/o dryness and burning sensation of eyes Difficulty in eating solid food, decreased salivation seen 1 month back patient was having an episode of loss of consciousness with cold peripheries with sweating [grbs 7mg/dl] after taking Tab Glimi M2 prescribed by a local practitioner for high sugars?250mg...

Cheif complaints:  A 65year old man came to hospital with complaints of fever on and off , tightness of abdomen ,facial puffiness since 15 days   History of present illness:  A 65 year old male toddy tree climber by profession was apparently asymptomatic 10 years back then he was had swelling and pain abdomen for which he was diagnosed with- lt sided inguinal hernia and got operated in some private hospital. Preoperative and postoperative period was uneventful  4 years back patient had complaint of giddiness for which he approached government hospital physician and was diagnosed Hypertension[170/90] and was started on some unknown medication  6 months back patient had complaint of bilateral pedal edema for which investigations were done and found his serum creatinine elevated (4.3 ) and proteins in urine  CT scan showed unilateral (lt)staghorn renal calculi and bilateral inguinoscrotal hernia  DTPA scan was done showing radioactive uptake on left side(...